Bringing Whānau Ora to Health Social Work

Boulton, Amohia; Cvitanovic, Lynley; Cropp, Tracey

doi:10.4324/9781003330745-16

Cited by 2 publications

(2 citation statements)

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“…In this area we grouped five distinctive roles: Whānau Ora Navigators [17,[44][45][46][47][48][49][50] , Kaimanaaki [19,[51][52][53][54][55], Māori Cancer Coordinators [56][57][58], Pacific Navigators [58][59][60] and Partnership Community Workers (PCW) [61][62][63][64]. The first four of these roles were developed in conjunction with Māori Health Providers and the fifth one was developed in Canterbury by a large primary health organisation [63].…”

Section: Health and Social Navigationmentioning

confidence: 99%

Demystifying Case Management in Aotearoa New Zealand: A scoping and mapping review

Stretton¹,

Chan²,

Wepa³

2022

Preprint

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Community-based case managers in health have been compared to glue which holds the dynamic needs of clients to a disjointed range of health and social services. However, case manager roles are difficult to understand due to poorly defined roles, confusing terminology, and low visibility in New Zealand. This review aims to map the landscape of case management work to advance workforce planning by clarifying the jobs, roles, and relationships of case managers in Aotearoa New Zealand (NZ). Our scoping and mapping review includes peer-reviewed articles, grey literature sources, and interview data from 15 case managers. Data was charted iteratively until convergent patterns emerged and distinctive roles identified. A rich and diverse body of literature describing and evaluating case management work in NZ (n=148) is uncovered with at least 38 different job titles recorded. 18 distinctive roles are further analysed with sufficient data to explore the research question. Social ecology maps highlight diverse interprofessional and intersectoral relationships. Significant innovation and adaptations are evident in this field, particularly in the last five years. Case managers also known as health navigators, play a pivotal but often undervalued role in NZ health care, through their interprofessional and intersectoral relationships. Their work is often unrecognised which impedes workforce development and the promotion of person-centred and integrated health care.

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Section: Health and Social Navigationmentioning

confidence: 99%

Demystifying Case Management in Aotearoa New Zealand: A scoping and mapping review

Stretton¹,

Chan²,

Wepa³

2022

Preprint

View full text Add to dashboard Cite

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“…Inspired by examples in LMICs and building on decades of community-based care experience with diseases (such as tuberculosis) in their own regions [ 22 ], there is growing interest in employing CHWs in high-income countries, especially the English-speaking countries [ 23 – 25 ] – such as the United States [ 16 , 26 ], Australia [ 25 ] and the United Kingdom [ 27 ]. Academic literature highlights that CHWs can play an important role in directing people to healthcare, providing culturally appropriate care, health education and advocacy – resulting in reduced health inequalities and positive health outcomes for people living in socially vulnerable conditions [ 28 – 32 ]. The COVID-19 pandemic highlighted the importance of CHWs worldwide and was a catalyst for the introduction of the first federal CHW programme in Belgium to improve access to primary care for people living in socio-economically vulnerable circumstances [ 33 ].…”

Section: Introductionmentioning

confidence: 99%

Facilitating access to primary care for people living in socio-economically vulnerable circumstances in Belgium through community health workers: towards a conceptual model

Masquillier,

Cosaert

2023

BMC Prim. Care

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Introduction Inspired by examples in low- and middle-income countries, 50 community health workers (CHWs) were introduced in Belgium to improve access to primary care for people living in socio-economically vulnerable circumstances. This article aims to explore the ways in which CHWs support people living in socio-economically vulnerable circumstances in their access to primary care. Methods The qualitative research focuses on the first year of implementation of this pioneer nationwide CHW programme in Belgium. To respond to the research aim, thirteen semi-structured in-depth interviews were held with people living in socio-economically vulnerable circumstances. In addition, a photovoice study was conducted with fifteen CHWs comprising four phases: (1) photovoice training; (2) participatory observation with each CHW individually; (3) an individual semi-structured in-depth interview; and (4) three focus group discussions. The transcripts and the observation notes were analysed in accordance with the abductive analysis procedures described by Timmermans and Tavory. Results The qualitative results show that the CHWs’ outreaching way of working allows them to reach people living at the crossroads of different vulnerabilities that are intertwined and reinforce each other. They experience complex care needs, while at the same time they face several barriers that interrupt the continuum of access to primary care – as conceptualised in the theoretical access-to-care framework of (Levesque et al. Int J Equity Health. 12:18, 2013). Building on the theoretical access-to-care framework described by (Levesque et al. Int J Equity Health. 12:18, 2013), the conceptual model outlines first the underlying mechanisms of CHW-facilitated access to primary care: (I) outreaching and pro-active way of working; (II) building trust; (III) providing unbiased support and guidance in a culturally sensitive manner; and (IV) tailoring the CHWs’ approach to the unique interplay of barriers at the individual and health system level along the access-to-care continuum as experienced by the individual. Further disentangling how CHWs provide support to the barriers in access to care across the continuum and at each step is outlined further in the process characteristics of this conceptual model. Furthermore, the qualitative results show that the way in which CHWs support people is also impacted by the broader health system, such as long waiting times and unwelcoming healthcare professionals after referral from a CHW. Discussion The conceptual model of CHW-facilitated access to primary care developed in this article explores the way in which CHWs support people living in socio-economically vulnerable circumstances in their access to primary care in Belgium. Through their outreaching method, they play a valuable bridging role between the Belgian healthcare system and people living in socio-economically vulnerable circumstances.

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Bringing Whānau Ora to Health Social Work

Cited by 2 publications

References 0 publications

Demystifying Case Management in Aotearoa New Zealand: A scoping and mapping review

Demystifying Case Management in Aotearoa New Zealand: A scoping and mapping review

Facilitating access to primary care for people living in socio-economically vulnerable circumstances in Belgium through community health workers: towards a conceptual model

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